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Cervical Disc Arthroplasty for the Treatment of Noncontiguous Cervical Degenerative Disc Disease: Results of Mid‐ to Long‐Term Follow‐up

التفاصيل البيبلوغرافية
العنوان: Cervical Disc Arthroplasty for the Treatment of Noncontiguous Cervical Degenerative Disc Disease: Results of Mid‐ to Long‐Term Follow‐up
المؤلفون: Ting‐kui Wu, Jun‐bo He, Kang‐kang Huang, Xin Rong, Chen Ding, Bei‐yu Wang, Hao Liu
المصدر: Orthopaedic Surgery, Vol 15, Iss 11, Pp 2901-2910 (2023)
بيانات النشر: Wiley, 2023.
سنة النشر: 2023
المجموعة: LCC:Orthopedic surgery
مصطلحات موضوعية: Adjacent segment degeneration, Cervical disc arthroplasty, Hybrid surgery, Intermediate segment, Noncontiguous cervical degenerative disc disease, Skip level, Orthopedic surgery, RD701-811
الوصف: Objective The long‐term results of cervical disc arthroplasty (CDA) for noncontiguous cervical degenerative disc disease (CDDD) are still uncertain. Moreover, it is unclear whether CDA delays or avoids the degeneration of the intermediate segment (IS), leading to controversy in the field. Therefore, this study aimed to investigate the mid‐ to long‐term clinical and radiographic outcomes of CDA in treating noncontiguous CDDD and to explore whether the IS degenerated faster after CDA than other non‐surgically treated adjacent segments. Methods We retrospectively analyzed patients with noncontiguous CDDD who underwent CDA in our department between January 2008 and July 2018. The patients were divided into the CDA and hybrid surgery (HS) groups, and clinical and radiographic outcomes were evaluated at routine postoperative intervals. Clinical outcomes were assessed using the Japanese Orthopaedic Association (JOA), neck disability index (NDI), and visual analogue scale (VAS), while radiographic outcomes included cervical lordosis (CL), C2‐C7 range of motion (ROM), segmental ROM, and disc angle (DA) at the arthroplasty level. Complications were also evaluated.Pre‐ and postoperative values were compared using paired t‐tests or Wilcoxon rank‐sum tests. Independent Student t‐tests or Mann–Whitney U tests analyzed continuous data between CDA and HS groups, while chi‐square or Fisher exact tests assessed categorical data. Results Sixty‐four patients with noncontiguous CDDD, with 31 in the CDA group and 33 in the HS group, were evaluated. The mean follow‐up time was over 70 months. The most frequently involved levels were C4/5 and C5/6. Both groups showed significant improvements in JOA, NDI, and VAS values after surgery. Although CL was maintained, the CL in the CDA group was consistently lower than that in the HS group (p
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1757-7861
1757-7853
Relation: https://doaj.org/toc/1757-7853; https://doaj.org/toc/1757-7861
DOI: 10.1111/os.13900
URL الوصول: https://doaj.org/article/d201124cbce248689a7c4cc4312fed35
رقم الأكسشن: edsdoj.201124cbce248689a7c4cc4312fed35
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:17577861
17577853
DOI:10.1111/os.13900